Gayle A. Cheatwood, DDS
Individual provider Active NPI Dentist · Holtville, CA
NPI 1891799359 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1891799359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 24956 (CA)
- Practice address
- 538 Holt Ave
Holtville, CA 92250-1216 - Phone
- (760) 356-2821
- NPI assigned
- Jun 11, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160609001612 | CA | Order and Referring Only - Dentist |
1850681495 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 24956 | CA | Yes |
Addresses
Primary practice location
538 Holt Ave
Holtville, CA 92250-1216
Mailing address
538 Holt Ave
Holtville, CA 92250-1216
Phone (760) 356-2821
Other providers in Holtville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.